Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9425270 | FL |
NPI | 1023464047 |
---|---|
Provider Name | Sharla Walker |
First Address | Tampa, FL 33635-1563 |
Second Address | St Petersburg, FL 33712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2016 |
Last Update Date | 08/08/2018 |